"Hospices that think they do not have a Notice of Eligibility problem are in trouble."
The CEO of software developer MedTranDirect was anxious for us to get this message out. Yes, they have software to sell that helps with the NOE crisis but that was not Ellie Robison's focus during our recent conversation. She told us that, in the process of promoting her company's NOE Tracker software with prospective clients, she has noticed widespread misunderstanding, which will become profoundly expensive, if it hasn't already.
"We had a client who was confident there was not a problem and we pushed him to let us take a closer look. We found they had $10,000 in penalties, just in the last 3 months." The problem, she explained, is that the onus to report NOE penalties falls on the provider. Neither the provider's MAC or CMS itself has to expend the effort to look for them. Here are the new rules hospices must learn:
The CEO wrapped up our conversation and her lessons with one final admonition. "If hospices are smart, they will avoid this by reporting the penalty accurately the first time."
©2016 by Rowan Consulting Associates, Inc., Colorado Springs, CO. All rights reserved. This article originally appeared in Tim Rowan's Home Care Technology Report. homecaretechreport.com One copy may be printed for personal use; further reproduction by permission only. email@example.com